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No longer developing for this indication
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This trial is comprised of a 4-week randomized, double-blind, placebo-controlled treatment period followed by an optional 8-week open-label extension (OLE) period.
This trial will evaluate the efficacy and safety of oral PRAX-114 flexibly dosed at 40 to 60 mg for 4 weeks compared to placebo in adults with PTSD. The OLE period consisting of treatment with 40 mg PRAX-114 for 8 weeks will provide additional efficacy and safety data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Double-blind PRAX-114 | Experimental | Double-blind period - 40 or 60 mg PRAX-114 once daily in the evening |
|
| Double-blind Placebo | Placebo Comparator | Double-blind period - placebo once daily in the evening |
|
| Open-label Extension PRAX-114 | Experimental | Open-label extension period - 40 mg PRAX-114 once daily in the evening |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 60 mg PRAX-114 or 40 mg PRAX-114 | Drug | Once daily oral treatment for 4 weeks |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) total score at Day 29 | The CAPS-5 is a clinician-rated PTSD rating scale consisting of 30 items; the total score is calculated as the sum of 20 items assessing the 20 DSM-5 PTSD symptoms. These symptom items are scored on a 5-point scale from 0 (absent) to 4 (extreme/incapacitating). The total score of the 20 items ranges from 0 to 80 with higher scores indicating more severe PTSD symptoms. Therefore, a decrease in the total score indicates symptom improvement. | 29 days |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in the CAPS-5 total score at Day 15 and 43 | The CAPS-5 is a clinician-rated PTSD rating scale consisting of 30 items; the total score is calculated as the sum of 20 items assessing the 20 DSM-5 PTSD symptoms. These symptom items are scored on a 5-point scale from 0 (absent) to 4 (extreme/incapacitating). The total score of the 20 items ranges from 0 to 80 with higher scores indicating more severe PTSD symptoms. Therefore, a decrease in the total score indicates symptom improvement. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Praxis Research Site | Phoenix | Arizona | 85012 | United States | ||
| Praxis Research Site |
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| Placebo |
| Drug |
Once daily oral treatment for 4 weeks |
|
| 40 mg PRAX-114 | Drug | Once daily oral treatment for 8 weeks |
|
| 15 days and 43 days |
| Change from baseline in Clinical Global Impression-Severity (CGI-S) score at Day 29, Day 15, and Day 43 | The CGI-S assesses the clinician's impression of the participant's current depression symptoms. The clinician should use his/her total clinical experience with this patient population and rate the current severity of the participant's mental illness on a 7-point scale from 1 (Normal, not at all ill) to 7 (Among the most extremely ill patients). | 15 days, 29 days, and 43 days |
| Change from baseline in Clinical Global Impression-Improvement (CGI-I) score at Day 29, Day 15, and Day 43 | The CGI-I assesses the participant's improvement (or worsening). The clinician is required to assess the participant's condition relative to Baseline (Day 1) on a 7-point scale from 1 (Very much improved) to 7 (Very much worse). | 15 days, 29 days, and 43 days |
| Change from baseline in the CAPS-5 symptom cluster scores at Day 29, Day 15, and Day 43 | The CAPS-5 is a clinician-rated PTSD rating scale consisting of 30 items; 20 of these items assess the 20 DSM-5 PTSD symptoms. Symptom cluster scores are calculated as the sum of the individual item severity scores for symptoms contained in a given DSM-5 cluster. These symptom items are scored on a 5-point scale from 0 (absent) to 4 (extreme/incapacitating). Cluster score ranges vary by symptom cluster. Higher scores indicate more severe PTSD symptoms. Therefore, a decrease in the cluster score indicates symptom improvement. | 15 days, 29 days, and 43 days |
| Change from baseline in the PTSD Checklist for DSM-5 (PCL-5) at Day 29, Day 15, and all other timepoints | The PCL-5 is a patient-reported PTSD rating scale consisting of 20 items; these items assess the 20 DSM-5 PTSD symptoms. These symptom items are scored on a 5-point scale from 0 (not at all) to 4 (extremely). The total score of the 20 items ranges from 0 to 80 with higher scores indicating more severe PTSD symptoms. Therefore, a decrease in the total score indicates symptom improvement. | 8 days, 15 days, 22 days, 29 days, 35 days, and 43 days |
| Change from baseline in the Sheehan Disability Scale (SDS) at Day 29, Day 15, and Day 43 | The SDS is a patient-reported measure of disability. The SDS is a composite of 3 items designed to measure the extent to which 3 major domains in the patient's life are functionally impaired by psychiatric or medical symptoms: work, social life/leisure activities, and family life/home responsibilities. Each domain is rated on an 11-point scale from 0 (not at all) to 10 (extremely). The total score is calculated as the sum of the domain scores and ranges from 0 to 30. Higher scores indicate greater disability. Therefore, a decrease in the total score or on individual domains indicates less disability. | 15 days, 29 days, 43 days |
| Patient Global Impression-Improvement (PGI-I) score at Day 29, Day 15 and all other time points | The PGI-I scale is a global self-assessment used to rate the response of a participant's condition to therapy or intervention. It consists of 1 question that asks the participant to rate their current condition compared to how it was prior to beginning treatment on a scale of 1 (very much better) to 7 (very much worse). | 8 days, 15 days, 22 days, 29 days, 35 days, and 43 days |
| Change from baseline in the Insomnia Severity Index (ISI) at Day 29, Day 15, and all other timepoints | The ISI is a patient-reported measure of insomnia consisting of 7 items assessing the nature, severity, and impact of insomnia. These items are scored on a 5-point scale from 0 (no problem) to 4 (very severe problem). The total score ranges from 0 to 28 with higher scores indicating more severe insomnia. Therefore, a decrease in the total score indicates symptom improvement. | 8 days, 15 days, 22 days, 29 days, 35 days, and 43 days |
| Little Rock |
| Arkansas |
| 72211 |
| United States |
| Praxis Research Site | Rogers | Arkansas | 72758 | United States |
| Praxis Research Site | Lemon Grove | California | 91945 | United States |
| Praxis Research Site | Westlake Village | California | 91362 | United States |
| Praxis Research Site | Fort Myers | Florida | 33908 | United States |
| Praxis Research Site | Decatur | Georgia | 30030 | United States |
| Praxis Research Site | Boston | Massachusetts | 02131 | United States |
| Praxis Research Site | Las Vegas | Nevada | 89102 | United States |
| Praxis Research Site | Cincinnati | Ohio | 45219 | United States |
| Praxis Research Site | Dayton | Ohio | 45417 | United States |
| Praxis Research Site | Oklahoma City | Oklahoma | 73118 | United States |
| Praxis Research Site | Allentown | Pennsylvania | 18104 | United States |
| Praxis Research Site | Media | Pennsylvania | 19063 | United States |
| Praxis Research Site | Austin | Texas | 78737 | United States |
| Praxis Research Site | Dallas | Texas | 75231 | United States |
| Praxis Research Site | Everett | Washington | 98201 | United States |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Mar 1, 2024 | Mar 26, 2024 | 6 |
| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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